title: Polyostotic fibrous dysplasia involving the thoracic spine with myelopathy: case report and review of the literature.
abstract: BACKGROUND
  Polyostotic fibrous dysplasia (PFD) seldom involves the thoracic spine and usually presents with back pain.
  
  
  OBJECTIVE
  To describe an extremely rare presentation of an uncommon disease.
  
  
  METHODS
  We present a case report from a university hospital.
  
  
  METHODS
  We report a case of symptomatic thoracic PFD associated with myelopathy and pathologic fracture. A thorough search of PubMed/MEDLINE was performed for the terms "polyostotic fibrous dysplasia," "spine," and "neurological deficit."
  
  
  RESULTS
  The patient was treated by posterior laminectomy, vertebroplasty, and pedicle screw fixation and fusion. Satisfactory results were achieved, and there were no complications.
  
  
  CONCLUSIONS
  In the spine, PFD may lead to pathologic fracture and myelopathy even after adolescence. Vertebroplasty with or without decompression and fixation may be the appropriate option for cases with myelopathy.
authors.affiliation: Orthopaedic Department of Peking University Third Hospital, No 49. North Garden Rd, HaiDian District, Beijing 100191, China.
authors.forename: Feng Liang
authors.initials: FL
authors.lastname: Wu
authors.affiliation: Orthopaedic Department of Peking University Third Hospital, No 49. North Garden Rd, HaiDian District, Beijing 100191, China.
authors.forename: Zhong Jun
authors.initials: ZJ
authors.lastname: Liu
authors.affiliation: Orthopaedic Department of Peking University Third Hospital, No 49. North Garden Rd, HaiDian District, Beijing 100191, China.
authors.forename: Xiao Guang
authors.initials: XG
authors.lastname: Liu
authors.affiliation: Pathology Department of Peking University Health Science Center, No 38. Xue Yuan Rd, HaiDian District, Beijing, 100191, China.
authors.forename: Shao Min
authors.initials: SM
authors.lastname: Yang
authors.affiliation: Orthopaedic Department of Peking University Third Hospital, No 49. North Garden Rd, HaiDian District, Beijing 100191, China. Electronic address: jiangliang@bjmu.edu.cn.
authors.forename: Liang
authors.initials: L
authors.lastname: Jiang
authors.affiliation: Orthopaedic Department of Peking University Third Hospital, No 49. North Garden Rd, HaiDian District, Beijing 100191, China.
authors.forename: Feng
authors.initials: F
authors.lastname: Wei
authors.affiliation: Orthopaedic Department of Peking University Third Hospital, No 49. North Garden Rd, HaiDian District, Beijing 100191, China.
authors.forename: Miao
authors.initials: M
authors.lastname: Yu
mesh_terms: D000328:Adult; D005260:Female; D005359:Fibrous Dysplasia, Polyostotic / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D011859:Radiography; D013118:Spinal Cord Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome
keywords: Biphosphate; Myelopathy; Polyostotic fibrous dysplasia; Spine; Vertebroplasty